Subscribe to RSS
DOI: 10.1055/s-0032-1302458
Considerations in Abdominal Wall Reconstruction
Publication History
Publication Date:
23 February 2012 (online)
Abstract
Reconstruction of complex defects of the central abdomen is both challenging and technically demanding for plastic surgeons. Advancements in the use of pedicle and free tissue transfer along with the use of bioprosthetic and synthetic meshes have provided for novel approaches to these complex defects. Accordingly, detailed knowledge of abdominal wall and lower extremity anatomy in combination with insight into the design, implementation, and limitations of various flaps is essential to solve these complex clinical problems. Although these defects can be attributed to a myriad of etiologic factors, the objectives in abdominal wall reconstruction are consistent and include the restoration of abdominal wall integrity, protection of intraabdominal viscera, and the prevention of herniation. In this article, it is our goal to review pertinent anatomy, pre- and postoperative care regimens, and the various local, regional, and distant flaps that can be utilized in the reconstruction of these complex clinical cases of the central abdomen.
-
References
- 1 Butler CE. The role of bioprosthetics in abdominal wall reconstruction. Clin Plast Surg 2006; 33 (2) 199-211, v–vi
- 2 Weed T, Ratliff C, Drake DB. Quantifying bacterial bioburden during negative pressure wound therapy: does the wound VAC enhance bacterial clearance?. Ann Plast Surg 2004; 52 (3) 276-279 , discussion 279–280
- 3 Huger Jr WE. The anatomic rationale for abdominal lipectomy. Am Surg 1979; 45 (9) 612-617
- 4 Lin SJ, Butler CE. Subtotal thigh flap and bioprosthetic mesh reconstruction for large, composite abdominal wall defects. Plast Reconstr Surg 2010; 125 (4) 1146-1156
- 5 Rozen WM, Ashton MW, Grinsell D, Stella DL, Phillips TJ, Taylor GI. Establishing the case for CT angiography in the preoperative imaging of abdominal wall perforators. Microsurgery 2008; 28 (5) 306-313